Florida Senate - 2014                          SENATOR AMENDMENT
       Bill No. CS for CS for CS for SB 1254
       
       
       
       
       
       
                                Ì883952?Î883952                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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                 Floor: WD/2R          .                                
             04/30/2014 11:01 AM       .                                
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       Senator Grimsley moved the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Between lines 1056 and 1057
    4  insert:
    5         Section 22. Paragraph (d) of subsection (1) of section
    6  409.975, Florida Statutes, is amended to read:
    7         409.975 Managed care plan accountability.—In addition to
    8  the requirements of s. 409.967, plans and providers
    9  participating in the managed medical assistance program shall
   10  comply with the requirements of this section.
   11         (1) PROVIDER NETWORKS.—Managed care plans must develop and
   12  maintain provider networks that meet the medical needs of their
   13  enrollees in accordance with standards established pursuant to
   14  s. 409.967(2)(c). Except as provided in this section, managed
   15  care plans may limit the providers in their networks based on
   16  credentials, quality indicators, and price.
   17         (d) Each managed care plan must offer a network contract to
   18  each home medical equipment and supplies provider in the region
   19  which meets quality and fraud prevention and detection standards
   20  established by the plan and which agrees to accept the lowest
   21  price previously negotiated between the plan and another such
   22  provider providing services in the region.
   23         1. The provider accepting the lowest price in the region
   24  may not be affiliated with the managed care plan, the managed
   25  care plan’s third-party administrator, or any provider,
   26  including a home medical equipment and supplies provider,
   27  contracted or subcontracted by the managed care plan to manage
   28  that set of services or to establish a network.
   29         2. Recipients must be allowed to select services from any
   30  home medical equipment and supplies provider in a managed care
   31  plan’s network. A service authorization requested by an in
   32  network provider may not be transferred to another in-network
   33  provider once a recipient has selected a provider. Only a
   34  recipient may request a transfer from one in-network provider to
   35  another in-network provider.
   36  
   37  
   38  ================= T I T L E  A M E N D M E N T ================
   39  And the title is amended as follows:
   40         Delete line 45
   41  and insert:
   42  
   43